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BRAVO Reflux Test

What is BRAVO pH Monitoring?

Bravo pH monitoring is a patient-friendly test for identifying the cause of heartburn.  This test allows your doctor to evaluate your heartburn symptoms to determine the frequency and duration of acid coming up into your esophagus and to confirm if your condition may be Reflux Disease.


The test involves a minature pH capsule, approximately the size of a gelcap, that is attached to your esophagus. Through-out the test period, the Bravo pH capsule measure the pH in the esophagus and transmits this information to a small receiver worn on your belt or waistband just like a pager or mobile phone.


What Can I Expect During the Procedure?

The capsule takes only moments to place in the esophagus during an EGD/Upper Endoscopy procedure. The testing period last 48 hours or more, depending on the doctor's request.


The capsule is small and you can eat normally and go about your daily routine.  Some patients say they feel the capsule when they eat or when food passes the capsule.  Should you experience this, chewing food carefully and drinking fluids may minimize this sensation.


You will be given a diary to write down the times when you have reflux symptoms (for example:  coughing, heartburn, regurgitation) when eating or when lying down.


After the test is completed, you return the dairy and the Bravo Receiver to the Hospital or facility where you had the procedure performed. The test data will upload into the computer system and be analyzed by your doctor to diagnose your condition.  You will be scheduled for a follow-up office visit to discuss your results.


What are the Benefits of the Bravo pH Monitoring Procedure?

The Bravo pH monitor procedure is catheter-free so you are free to move about as long as you stay withing three feet or approximately one meter of the receiver.  You can bathe and get a restful night's sleep because you can place the receiver outside the shower or on our nightstand, and the test will not be interrupted.


Will the Test Restrict My Diet and Activities?

No, one of the added benefits of the capsule is that it is so small that you may eat normally and go about your daily routine.


What Happens to the Capsule after the Test?

Several days after the test, the capsule naturally falls off the wall of the esophagus and passes through your digestive tract.


Is the Bravo pH Monitoring Procedure a Good Solution for Everyone?

Bravo pH monitoring is not for everyone.  Risks include:  premature detachment, discomfort, failure to detach, tears in the mucosa, bleeding and perforation.  Endoscopic or transnasal placement may present additional risks. Medical, endoscopic or surgical intervention may be necessary to address any of these complications, should they occur.  Please consult your physician for detailed information.